Organization Active NPI

Spine & Extremity Rehabilatation

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1205153756
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8116 Issued in FL
Legal business name
SPINE & EXTREMITY REHABILATATION
Practice address
1107 Delaware Ave
Fort Pierce, FL 34950-4048
Phone
(772) 464-2200
Fax
(772) 464-2447
NPI assigned
Apr 23, 2010
Last updated
Aug 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Cary Richard Lubet, DCNPI 1831290188
Title
Presient
Phone
(772) 485-5959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8116 FL Primary

Addresses

Primary practice location

1107 Delaware Ave
Fort Pierce, FL 34950-4048

Mailing address

4465 NW Alsace Ave
Port Saint Lucie, FL 34983-8338
Phone (772) 468-4999

National Provider Directory

National Provider Directory

Locations

1107 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 464-2200

439 SE Port St Lucie Blvd
Port St Lucie, FL 34984
Phone (772) 468-4999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1205153756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 NW ALSACE AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349838338",
            "telephone_number": "772-468-4999",
            "fax_number": "772-464-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 DELAWARE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504048",
            "telephone_number": "772-464-2200",
            "fax_number": "772-464-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & EXTREMITY REHABILATATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "LUBET",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIENT",
        "authorized_official_telephone_number": "772-485-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.